Publications by authors named "Romeo-Paolo T Perfecto"
Article Synopsis
- Chiropractors focus on diagnosing and treating musculoskeletal disorders, often using spinal manipulative therapy (SMT), with increased acceptance in the US since Medicare funded it in 1972.
- A review of chiropractic research from 1972-2024 revealed over 6,000 articles, showing an upward trend in publication and a shift from historical topics to more clinical studies like randomized controlled trials.
- Recent clinical practice guidelines (CPGs) have made 59 recommendations for SMT, mainly endorsing its use for low back pain (90% efficacy) and neck pain (100% efficacy), along with recent support for treating tension-type headaches.
Background: Cauda equina syndrome (CES) is a lumbosacral surgical emergency that has been associated with chiropractic spinal manipulation (CSM) in case reports. However, identifying if there is a potential causal effect is complicated by the heightened incidence of CES among those with low back pain (LBP). The study hypothesis was that there would be no increase in the risk of CES in adults with LBP following CSM compared to a propensity-matched cohort following physical therapy (PT) evaluation without spinal manipulation over a three-month follow-up period.
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